Financial Assistance Programs

The Thyrogen Co-Pay Program

To help make treatment costs and co-pays more affordable, we created the Thyrogen Co-Pay Program. Through the program, financial assistance is available to help eligible*, commercially insured patients receive Thyrogen at:

1. If you have commercial insurance, you may be eligible through the Thyrogen Co-Pay Program 
2. To confirm you are eligible, you may call ThyrogenONE at 1-88-THYROGEN (1-888-497-6436 1-888-497-6436). You may download the Thyrogen Co-Pay Self Application Form here
3. Complete, sign, and fax the Co-Pay Self Application Form. You will be contacted by a ThyrogenONE case manager.
4. If you qualify, you will receive a Thyrogen Co-Pay Card in the mail. You may use the Thyrogen Co-Pay Card to pay up to $1,000 of your out of pocket expenses.
5. Already billed for Thyrogen? Call ThyrogenONE to apply for copay assistance.

* IMPORTANT NOTICE: The Copay Program does not cover prescriptions eligible to be reimbursed, in whole or in part, by a state or federal health care program, including but not limited to Medicare, Medicare Advantage Plans (Example: FreedomBlue offered through BlueCross Blue Shield), Medicare Part D, Medicaid, Medigap, Veterans Affairs, Department of Defense, or TRICARE. In accordance with State law, the Program does not reimburse infusion-related charges for commercially insured patients residing in Massachusetts, Michigan, or Rhode Island. (Charitable Access Program patients residing in these states are eligible to receive assistance for infusion-related charges while they are receiving charitable drug.) No claim for reimbursement of any out-of-pocket expenses covered by the Co-Pay Program may be submitted to any third-party payer, whether public or private. The Co-Pay Program is available only in the United States and cannot be combined with any other rebate/coupon, free trial, or similar offer. Co-Pay benefits are not transferable. Sanofi reserves the right to rescind, revoke, modify, or amend this program without notice. Through your participation in the Co-Pay Program, you understand and agree to comply with the terms and conditions set forth above

With the Thyrogen Patient Assistance Program, eligible* patients may receive Thyrogen free of charge if they:

• Medically need Thyrogen, but no longer have insurance.
• If their insurance does not cover Thyrogen.
• Download and complete the Thyrogen Patient Assistance Program Application Form.

*Patients will need to meet the eligibility criteria, including household income to qualify. They ThyrogenONE team will research each patient’s situation and determine eligibility. For more information call 1-88-THYROGEN (1-888-497-6436 1-888-497-6436).